IndividualActive
Jesse Mamon
NPI 1053761304 · Community Health Worker · Ruston, LA
Jesse Mamon is a Community Health Worker provider in Ruston, LA (NPI 1053761304).
Provider details
- NPI number
- 1053761304
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2929 Highway 33
Ruston, LA 71270-1628
Phone: (318) 251-9904
Street-level locationGet directions
Mailing address
2929 Highway 33
Ruston, LA 71270-1628
Registry dates
- Enumerated
- 2016-06-17
- Last updated
- 2016-06-17
Frequently asked questions
- What is Jesse Mamon's NPI number?
- Jesse Mamon's National Provider Identifier (NPI) is 1053761304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Mamon's specialty?
- Jesse Mamon is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Jesse Mamon located?
- Jesse Mamon's practice location on file with NPPES is 2929 Highway 33, Ruston, LA 71270-1628.
- What is Jesse Mamon's phone number?
- The practice phone number listed in the NPPES registry for Jesse Mamon is (318) 251-9904.
- Is Jesse Mamon's NPI active?
- Yes — Jesse Mamon's NPI (1053761304) is active in the NPPES registry as of the last update on 2016-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.